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Home My WebLink About2615 STATE ST; ; CB921245; Permit, " ' . A p wn.,. : lJU t F R qu M .. .. #: .. 0297 12/02/92 0001 01 C-PRI"- l C il . Fx f P CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 02 ,• -AA. I \, ... ,. --~-.·----------·---..--~ -PERMIT APP~CATI01'{ l!A. ~ PLAN CHECK NO. 1-i-(lC£5 City of carlsbad Building Departaent I EST. VAL 2075 Las PalEs Dr., carlsbed, CA 92009 (619) 438-1161 PIAN CK DEPOSIT _______ _ VAIID. BY __________ _ I. P£RMi I IYPE A -)tCOmmerc1al U New Bu1ldmg □ New Building D I enant Improvement □ Tenant Improvement DATE B -□ Industrial C -D Residential D Apartment □ Condo D Single Family Dwelli~ D Addition/ Alteration □ Duplex □ Demolition □ Relocation D Mobile Home 1'.Electrical □ Plumbing □ Mechanical □ Pool U Spa □ Retaining Wall □ Solar D Other 2. PRamcr INFORMATION FOR OFFICE USE ONLY Address.;u; IS 3,1;4,t; Bui@mg or Suite No. mt o. ase o. CHECR BEWW IF S0BMII 1£D: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope AssEsson•s PARCEJ. ouU.:: ~--ctFXJ't~ us~/ G DESCRIPTION OF WORK (.oN..,. • SQ. FT. # OF SIDRIES Lao 3. WN IACI PEJtSCJN (if duierent from applicant) NAME ~ c:;> 9 '-f CITY ST A TE ZIP CODE DAY TELEPHONE ADDRESS 4-t':.':}tp'duL□°J!~";:;1i~□sAG/;..!.,/01t ':£~k1#s1u~ '?-~;'N2'., .,□f:~N~ ~\ow1;1t, ciTI V / $ ', ~ STATE c..,q ZIP CODE 9' 1-CJ t°? DAY TELEPHONE 7 ;).. C, S. PROPER I Y OWNER NAME C( 9 'f ADDRESS ZIP CODE Cl'IY STATE DAY TELEPHONE NAME Cl'IY STATE STATE !JC.# ADDRESS ZIP CODE LICENSE CLASS DAY TELEPHONE Cl'IY BUSINESS !JC. # Cl'IY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WOR.kERS• WUPF.NSXltoN □ □ Workers' Compensation Declaration: I hereby afurm that I have a certUlcate of consent to self-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). emp oy any person m any manner ere ya mn at am exempt rom e w or t e o owmg reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Llcense Law). I am exempt under Section ________ Business and Professions Code for chis reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of th ntracto 'cense Law (C er 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he · x pt rom, and t sis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects to a civil more than five hundred dollars [$500]). SIGN"' =-:e...----DATE 1yf ,--1 ?.... Is the ap 1carif0fTUt~re building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention progra3 ~oder Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? ,-,_ YES □ NO Is the applicant or future building occ~nc required to obtain a pennit from the air pollution control district or air quality management district? C YES NO Is the facility to be constructed withi ~1 000 feet of the outer boundary of a school site? Li YES NO IF ANY OF TIIBANSWERS ARE YES, AL CERTIFICATE OFOOCUPANCYMAYNOT Bl! ISSUED APTER JULY I, 1989 UNIJlSS nmAPPUCANT HAS MET OR IS MElmNG nm RF.QIJIREMEN15 OF nm OFFICI! OF EMERGl!NCY SERVJCI!S AND nm AIR POLLUTION CONTIIOL DISllUCT. 9. WNSI KOCI ION D!NDING AGENCY I hereby athrm that there 1s a construction lend mg agency for the perfonnance of the work for which chts permlC 1s issued (Sec 309? (IJ UvlJ Code). LENDER'S NAME LENDER'S ADDRESS 16. APPLICANl CFJtliFICXiiuN I certify that I have read the appitcatton and state that the aOOve mformatlon 1s correct. I agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad co enter upon the above mentioned property for inspection purposes. I ALSO AGREE ID SAVE INDEMNIFY AND KEEP IIARMUlSS nm QTY OF CARISBAD AGAINSf All. L1AB1U11ES, JIJDGMEN"fS, CXJSTS AND EXPENSES WIDOI MAY IN ANY WAY ACDUJE AGAINST SAID QTY IN CONSEQUENCI! OF nm GRANTING OF nus Pl!RMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE DATE: _____ _ WHITE: File YEU.OW: Apphcant PINK: Finance I PERMIT# CB921245 DESCRIPTION: CONVERT 100 AMP TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 07/27/93 OVERHEAD TO UNDERGRND. 1 PHASE 100 AMP 3 PHASE STE: INSPECTOR AREA PD PLANCK# CB921245 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2615 STATE ST APPLICANT: SAMUELSON, PAUL CONTRACTOR: PHONE: 619 729-1222 OWNER: REMARKS: MH/PAUL SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# CB880025 WDP02133 TYPE ELEC WOP ~:g::: /1 IL-\, ll/J INSPECTO~~~L..!=-~~~....::l,~YL~~=---- STATUS EXPIRED ISSUED ACT COMMENTS _3_9 __ E_L _F_i_n_a_1_E_1_e_c_t_r_i_c_a_1 _______ llj_ ______________ _ DATE 052693 010493 ***** INSPECTION HISTORY***** DESCRIPTION Final Electrical Service Change/Upgrade ACT INSP CO PD PA PD COMMENTS PROVIDE GROUND ROUGH OK, NOS GROUND